Kevin Cubala, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007681 Issued in IL

Practice address

3601 Algonquin Rd Ste 450
Rolling Meadows, IL 60008-3108

Phone

(312) 278-1166

NPI assigned

Jan 21, 2010

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeff Weishaar, Psy.D., P.C.

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1538482583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1225369804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD STE 450",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083108",
            "telephone_number": "312-278-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD STE 450",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083108",
            "telephone_number": "312-278-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBALA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coram Alternate Site Services Inc
• Coria Transportation LLC
• Donna Coy, PHD
• Cpap Express, LLC (CPAP Express)
• Nurit Crystal, M.D
• Vicki Custer, MA, LCPC
• Donald L Cyborski, MD
• Cynthia L Czuba, PA
• Daniel & Max, LLC
• Mark Dedonato, L.C.S.W.

• Clinical Psychologist in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.